Further report on the treatment of phthisis by iodoform infusion / by Thomas W. Dewar.

  • Dewar, Thomas W.
Date:
[1905]
Catalogue details

Licence: In copyright

Credit: Further report on the treatment of phthisis by iodoform infusion / by Thomas W. Dewar. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    19/26 (page 9)
    powerful tlierapeutically as the CHI3 in ether alone. The abscess was laid open into the rectum, and after a few stuffings was treated by CHI3 insuffiatious. It is quite healed.—[Pro- fessor AkTIIUR fxAMC4EE.] Cases 5, 6, and 7 have many features in common. The earliest symptom in each was pleurisy, then slight consolida- tion, comparatively rapid recovery and return to work; early relapse, more prolonged illness, more extensive infiltration and breaking down, extension of pleiirisy and more restricted chest action, great flattening of thorax, obvious loss of lung substance although distinct signs of a cavity exist only in No. 7, large numbers of tubercle bacilli in all (Royal College of Physicians’ Laboratory); digestion good in 5 and 6, but ruined in 7 by previous efforts at overfeeding. All had con- stitutional disturbance, although the temperatures did not rise higher than 101° to 102°; all were incapacitated for work; on screening, the action of tlie diaphragm is very slight in 5 and 6; and in 7 is quite lost. CASE No. 5. [Dr. J. E. Moorhouse.] M., age 21; height, 5 ft. 7| in.; weight, 9 stone 7 lb.; grocer’s assistant; social condition, penury; probable tuber- cular history. Illness began four years ago with hcemori’hage and pleurisy ; principal lesion on left side, but both affected. He returned to work after four months’ treatment, and has continued so without any relapse, and his weight has risen from 9 stone 7 lb. to 10 stone 2 lb.; his temperature is normal, cough and expectoration very slight, but there are still a good many bacilli in the sputum. The treatment has been continued two or three times a week while he has been at work. It is now a year since he resumed work, and he works seventy hours per week. Under more favoural)lc con- ditions I feel sure he would have done still better. CASE No. 6. [Professor Wyllie.] M., age 40 ; social condition, good; bad tubercular history in family; one brother emigrated on account of his health, one